The Social Nutritionist, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

THE SOCIAL NUTRITIONIST, LLC

Practice address

16045 W 13TH PL
Golden, CO 80401-2916

Phone

(978) 621-3351

NPI assigned

Jun 20, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rebecca Russell, MS, RD, ATCNPI 1154717486

Title

Founder & Ceo

Phone

(978) 621-3351

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Russell

  • Registered Dietitian
  • Golden, CO
  • NPI 1154717486

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1063197705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16045 W 13TH PL",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012916",
            "telephone_number": "978-621-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16045 W 13TH PL",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012916",
            "telephone_number": "978-621-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOCIAL NUTRITIONIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "978-621-3351",
        "authorized_official_credential": "MS, RD, ATC"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lynne Tems, PH.D
• Brandon M Teska, DO, PHD
• Jo Lynn Tessean, CD(DONA)
• Heidi Weiss Tessler, MD
• Suraksha Thapa, NP
• Theralink Technologies, Inc.
• Theraphysics Partners of Colorado, Inc.
• Lauren Rachel Thiele, M.O.T., OTR
• Thirty3 Chiropractic LLC
• Thirty3 Health PLLC

• Registered Dietitian in Golden, CO
• Providers in Golden, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.